MARSHALL ALBERT CANIZALEZ AU.D
NPI 1376205278
Audiologist in Gresham, OR

Active since October 07, 2021Accepts Medicare Assignment
24076 SE STARK ST STE 230, GRESHAM, OR 97030(503) 488-2600(503) 465-5468 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2022, Oct 7, 2021 (2 updates tracked since 2021).

About Marshall Albert Canizalez Au.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL ALBERT CANIZALEZ AU.D (NPI 1376205278) is an individual audiologist in Gresham, Oregon, licensed in Oregon (31054) and active in the NPI registry since October 2021. He maintains a secondary practice location in Portland and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376205278
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameMARSHALL ALBERT CANIZALEZCredential: AU.D
Location Address24076 SE STARK ST STE 230Gresham, OR 97030-3385
Mailing Address847 Ne 19th Ave Ste 300Portland, OR 97232-2686 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 465-5468
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2021
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1376205278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses Licensed in OR · 31054 Licensed in IL · 147001852
Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X
24076 SE STARK ST STE 230, Gresham, OR 97030

Secondary Practice Location 1

Location 11111 NE 99th Ave Ste 101Portland, OR 97220-9442 · Phone (503) 488-2626 · Fax (503) 488-2630

Other Identifiers 1

Medicaid500813168OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marshall Albert Canizalez Au.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880064732
PECOS Enrollment IDI20230110002296, I20231115002141

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$58.99 typical visit price
range $58.99 – $176.88
Typical copayment $14.74 (range $14.74 – $44.22)
Most-billed visit code 99202
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
24076 SE STARK ST STE 230
GRESHAM, OR 97030
Physician Assistant (Medical)
24076 SE STARK ST STE 230
GRESHAM, OR 97030
Audiologist-Hearing Aid Fitter
24076 SE STARK ST STE 230
GRESHAM, OR 97030
Physician Assistant
24076 SE STARK ST STE 230
GRESHAM, OR 97030
Physician Assistant
24076 SE STARK ST STE 230
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Canizalez's NPI number?

The NPI number for Marshall Canizalez is 1376205278. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Marshall Canizalez located?

Marshall Canizalez practices at 24076 SE Stark St Ste 230, Gresham, OR 97030. The listed phone number is (503) 488-2600.

What is Marshall Canizalez's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Marshall Canizalez enrolled in Medicare?

Yes. Marshall Canizalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marshall Canizalez was last updated on December 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.